HESI Pharmacology Exam |Questions and Answers | Latest
2022/2023
1. A client who is receiving chlorpromazine HCl (Thorazine) to control his
psychotic behavior also has a prescription for benztropine (Cogentin).
When teaching the client and/or significant others about these
medications, what should the nurse explain about the use of benztropine
(Cogentin) in the treatment plan for this client?
- The benztropine (Cogentin) is used to control extrapyramidal
symptoms.
2. A client with chronic gouty arthritis is talking allopurinol (Zyloprim), 100
mg PO daily. Which laboratory serum level should the nurse report to
the health care provider to determine the therapeutic outcome?
- Uric acid level
3. A client who is HIV-positive is receiving epoetin alfa (Epogen) for the
management of anemia secondary to zidovudine (AZT) therapy. Which
laboratory finding is most important for the nurse to report to the health
care provider?
- Hematocrit (HCT) of 58%
4. Which instruction should the nurse include in the teaching plan for a
client who is receiving phenytoin (Dilantin) for seizure control?
- Brush and floss teeth daily.
5. A client with HIV who was recently diagnosed with tuberculosis (TB) asks
the nurse, "Why do I need to take all of these medications for TB?" What
information should the nurse provide?
- Multiple drugs prevent the development of resistant
, organisms.
6. When providing client teaching about the administration of
methylphenidate (Ritalin) to a parent of a child diagnosed with ADHD,
which instruction should the nurse include in the teaching plan?
- Offer the child the medication before the child eats
breakfast and after the child eats lunch.
7. A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. Which
intervention should the nurse implement?
- Instruct the client to obtain a stool specimen to be taken to
the laboratory for analysis.
8. A female client is receiving tetracycline (Vibramycin) for acne. Which
client teaching should the nurse include?
- Oral contraceptives may not be effective.
9. A client with Tourette's syndrome takes haloperidol (Haldol) to control tics
and vocalizations. The client has become increasingly drowsy over the
past 2 days and reports becoming dizzy when changing from a supine to
sitting position. Which action should the nurse take?
- Assess for poor skin turgor, sunken eyeballs, and concentrated
urine output.
10. The nurse is assessing a stuporous client in the emergency
department who is suspected of overdosing with opioids. Which
agent should the nurse prepare to administer if the client becomes
comatose?
- Naloxone hydrochloride (Narcan)
, 11. The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes atropine
sulfate (Atropine), IM STAT. What is the primary purpose for
administering this drug to the child at this time?
- Decrease the oral secretions.
12. The nurse is scheduling a client's antibiotic peak and trough
levels with the laboratory personnel. What is the best schedule for
drawing the trough level?
- Instruct the laboratory to draw the trough
immediately before the next scheduled dose.
13. A client receiving a continuous infusion of heparin IV starts to
hemorrhage from an arterial access site. Which medication should the
nurse anticipate administering to prevent further heparin-induced
hemorrhaging?
- Protamine sulfate
14. Following the administration of sublingual nitroglycerin, which
assessment finding indicates that the medication was effective?
- Decrease in level of chest pain
15. A client being treated for an acute myocardial infarction is to receive
the tissue plasminogen activator alteplase (Activase). The nurse would
be correct in providing which explanation to the client regarding the
purpose of this drug?
- This drug is a clot buster that dissolves clots within a coronary
artery.
2022/2023
1. A client who is receiving chlorpromazine HCl (Thorazine) to control his
psychotic behavior also has a prescription for benztropine (Cogentin).
When teaching the client and/or significant others about these
medications, what should the nurse explain about the use of benztropine
(Cogentin) in the treatment plan for this client?
- The benztropine (Cogentin) is used to control extrapyramidal
symptoms.
2. A client with chronic gouty arthritis is talking allopurinol (Zyloprim), 100
mg PO daily. Which laboratory serum level should the nurse report to
the health care provider to determine the therapeutic outcome?
- Uric acid level
3. A client who is HIV-positive is receiving epoetin alfa (Epogen) for the
management of anemia secondary to zidovudine (AZT) therapy. Which
laboratory finding is most important for the nurse to report to the health
care provider?
- Hematocrit (HCT) of 58%
4. Which instruction should the nurse include in the teaching plan for a
client who is receiving phenytoin (Dilantin) for seizure control?
- Brush and floss teeth daily.
5. A client with HIV who was recently diagnosed with tuberculosis (TB) asks
the nurse, "Why do I need to take all of these medications for TB?" What
information should the nurse provide?
- Multiple drugs prevent the development of resistant
, organisms.
6. When providing client teaching about the administration of
methylphenidate (Ritalin) to a parent of a child diagnosed with ADHD,
which instruction should the nurse include in the teaching plan?
- Offer the child the medication before the child eats
breakfast and after the child eats lunch.
7. A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. Which
intervention should the nurse implement?
- Instruct the client to obtain a stool specimen to be taken to
the laboratory for analysis.
8. A female client is receiving tetracycline (Vibramycin) for acne. Which
client teaching should the nurse include?
- Oral contraceptives may not be effective.
9. A client with Tourette's syndrome takes haloperidol (Haldol) to control tics
and vocalizations. The client has become increasingly drowsy over the
past 2 days and reports becoming dizzy when changing from a supine to
sitting position. Which action should the nurse take?
- Assess for poor skin turgor, sunken eyeballs, and concentrated
urine output.
10. The nurse is assessing a stuporous client in the emergency
department who is suspected of overdosing with opioids. Which
agent should the nurse prepare to administer if the client becomes
comatose?
- Naloxone hydrochloride (Narcan)
, 11. The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes atropine
sulfate (Atropine), IM STAT. What is the primary purpose for
administering this drug to the child at this time?
- Decrease the oral secretions.
12. The nurse is scheduling a client's antibiotic peak and trough
levels with the laboratory personnel. What is the best schedule for
drawing the trough level?
- Instruct the laboratory to draw the trough
immediately before the next scheduled dose.
13. A client receiving a continuous infusion of heparin IV starts to
hemorrhage from an arterial access site. Which medication should the
nurse anticipate administering to prevent further heparin-induced
hemorrhaging?
- Protamine sulfate
14. Following the administration of sublingual nitroglycerin, which
assessment finding indicates that the medication was effective?
- Decrease in level of chest pain
15. A client being treated for an acute myocardial infarction is to receive
the tissue plasminogen activator alteplase (Activase). The nurse would
be correct in providing which explanation to the client regarding the
purpose of this drug?
- This drug is a clot buster that dissolves clots within a coronary
artery.
